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Artificial urinary sphincter placement in elderly men.

R Corey O'Connor1, Dana K Nanigian, Bhavin N Patel

  • 1Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. coreyoc@aol.com

Urology
|February 3, 2007
PubMed
Summary
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Elderly men aged 75+ undergoing artificial urinary sphincter (AUS) placement for postprostatectomy incontinence experienced good outcomes. Age alone should not prevent this effective treatment for stress urinary incontinence.

Area of Science:

  • Urology
  • Geriatric Medicine
  • Surgical Outcomes

Background:

  • Postprostatectomy stress urinary incontinence is a common complication.
  • Artificial urinary sphincter (AUS) placement is a treatment option.
  • Outcomes in elderly patients (≥75 years) are less well-documented.

Purpose of the Study:

  • To evaluate the outcomes of primary artificial urinary sphincter (AUS) placement.
  • To assess continence, complications, and deactivation rates in patients aged 75 years or older.
  • To determine the safety and efficacy of AUS in this specific demographic.

Main Methods:

  • Retrospective chart review and patient/family interviews.
  • Inclusion of 33 men aged 75 years or older undergoing AUS insertion for postprostatectomy stress urinary incontinence.

Related Experiment Videos

  • Analysis of continence, complications, and need for AUS deactivation over an average follow-up of 5.0 years.

    • Main Results:

    • Mean pad use decreased significantly from 6.7 to 0.8 pads/day.
    • 55% of patients reported no complications; 14% required revision and 14% removal.
    • 21% required deactivation due to health issues; 72% success rate when deactivation wasn't a complication.

    Conclusions:

    • Elderly men aged 75 and older achieve favorable outcomes with artificial urinary sphincter placement.
    • Artificial urinary sphincter implantation is a viable option for elderly patients with postprostatectomy stress urinary incontinence.
    • Age should not be a sole contraindication for considering AUS placement.